Individual
DR. SERGIO DAVID CHACIN ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8130 ROYAL PALM BLVD STE 100, CORAL SPRINGS, FL 33065-5703
(954) 999-4899
Mailing address
PO BOX 430885, SOUTH MIAMI, FL 33243-0885
(786) 456-4107
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
263028-1
NY
208100000X
Physical Medicine & Rehabilitation Physician
MD437104
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2013-01080
NC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME119606
FL
208VP0000X
Pain Medicine Physician
Primary
ME119606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102371477
—
PA
Enumeration date
06/16/2009
Last updated
04/26/2021
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